Adequacy of the Brief Psychiatric Rating Scale for distinguishing lesser forms of psychopathology.
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Biomedical subjects
Publications and source records attributed to C B Pull.
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This report describes and comments the definitions which have been proposed for Bulimia nervosa in three recent classifications: DSM III, DSM III-R and ICD-10.
The phenomenon of inhibition concerns a feeling of being blocked in usual functioning. It is frequently encountered, in many disorders. Using a general model of anxiety, the authors propose a taxonomy of the phenomenon into inhibition in anxiety states and inhibition associated with other disorders, a differentiation between generalized inhibition and specific inhibition, and between primary and secondary inhibition. Generalized inhibition due to anxiety can be assessed through use of the WP, which is a rating scale developed for this purpose by the authors.
The provisional definitions presented in this report are the first step of an empirical investigation initiated to establish operational definitions for schizophrenia and other non-affective psychoses of classical French nosology. They are the result of French clinicians' agreement on the identification of particular syndromes as distinct mental disorders.
The present report presents the final results of an empirical investigation initiated to establish operational definitions for schizophrenia and other non-affective psychoses of classical French nosology. For each category, the authors provide diagnostic criteria and algorithms. In addition, they propose a decision tree for the differential diagnosis of psychotic features included in the French classification of mental disorders.
Fifty-four depressed patients aged 18 to 65 years were treated for 4 weeks with a daily dose of either 60 mg mianserin or 150 mg imipramine in a double-blind controlled trial. The results which were measured on the Hamilton rating scale, on the Beck and on the Overall rating scale, on the brief psychiatric rating scale (BPRS) and on a global rating scale, did not show any significant difference relative to the antidepressive efficiency of both products. The frequency of side-effects however was significantly lower in the mianserin group than in the imipramine group.
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LICET-S and LICET-D are diagnostic instruments containing all diagnostic criteria for two major groups of disorders. LICET-S assembles the criteria proposed for non-affective psychoses in 9 different systems. LICET-D integrates the criteria defining the depressive categories listed in 7 different systems. Initially constructed to elaborate empirical criteria for specific categories pertaining to traditional French nosology, the two lists also permit to formulate diagnostic decisions according to 9 respectively 7 classification systems, on the basis of the algorithms defining each of the systems under discussion. The authors present the rationale that led to the construction of the LICET-system. They describe the composition of the two lists and the guidelines for use of the system. They finally illustrate the utility of the instruments on the basis of results obtained in recent investigations.